正文病类多矣。考之方书,尚缺多种,皆属常见之疾,何可竟无方治。今补入。
嘈杂一证,有火,有痰,有饮,有虫。虽云多种,而源则不离乎脾胃。膏粱之
人,每多患此。其发也,如饥之欲食,甚则烦沸杂乱,与吞酸、吐酸、干呕、胃痛
等疾,皆为噎膈反胃之渐。(宜三圣丸、越鞠丸之类。挟痰者二陈加栀、连,挟饮者丹溪导饮丸,
挟虫者乌梅丸、酒煮黄连丸之类。)
三圣丸 治嘈杂神效。
白术(四两) 橘红(一两) 黄连(炒,五钱)
上为细末,神曲糊丸如绿豆大。每服七八十丸。食远津唾下,姜汤亦得。
越鞠丸(见第四十一)
二陈汤(见第十六)
丹溪导饮丸 治水饮嘈杂。
吴茱萸(三钱) 白茯苓(一两) 黄连(五钱) 苍术(炒,一两) 独活(七钱)
上为细末,神曲糊丸服。
乌梅丸(见第六十三)
酒煮黄连丸(见第五十五)
吞酸与吐酸,大同小异。吞酸,酸在胸胃,忽作忽止,蜇胃刺心。吐酸,酸水酸
物,随吐而出,味如酽醋,蜇喉软齿。是皆形寒胃冷,食郁饮停,谷气不分,中焦
郁。正犹酿酒不发,过时而成酸味也。吞吐之所以异者,吞则胃中饮少,吐则胃
中饮多耳。间有属火者,乃热不得散。属木者,乃气不得伸。火不散者发之,木不
伸者达之。故统宜温中散寒,令郁滞开而病自愈矣。(宜发明藿香安胃散、加减二陈汤,三因曲术
丸、二陈加茱、连、神曲、苍术方、酒煮黄连丸)
Diseases are numerous. Examining medical formularies, many types are still missing, yet all belong to common ailments; how can there be no formulas for their treatment? These are now supplemented and included.
The syndrome of Zaos (buzzing sensation in the stomach/heartburn) may be caused by Fire, Phlegm, Fluid retention, or Parasites. Although various causes are mentioned, the source does not depart from the Spleen and Stomach. People who consume rich and refined foods often suffer from this. When it occurs, it feels like hunger prompting a desire to eat; in severe cases, it causes mental restlessness and chaotic discomfort. Along with Swallowing Acid (acid regurgitation), Vomiting Acid (sour vomiting), Dry Heaving, and Stomach Pain, these conditions are precursors to Yige (dysphagia) and Fanwei (regurgitation). (Suitable formulas include Sansheng Wan [Three Holy Pills] and Yueju Wan [Yueju Pill]. If accompanied by Phlegm, use Erchen Tang [Two Aged Decoction] added with Zhizi [Gardeniae Fructus] and Lianhua [Coptidis Rhizoma]; if accompanied by Fluid retention, use Danxi Daoyin Wan [Danxi's Guiding-Fluids Pill]; if accompanied by Parasites, use Wumei Wan [Mume Pill] or Jiuzhu Huanglian Wan [Wine-Boiled Coptis Pill].)
Sansheng Wan (Three Holy Pills) is highly effective for treating Zaos.
Baizhu (Atractylodis Macrocephalae Rhizoma, four liang) Juhong (Citri Reticulatae Pericarpium Rubrum, one liang) Huanglian (Coptidis Rhizoma, stir-fried, five qian)
Grind the above into fine powder, bind with paste made from Shenqu (Medicated Leaven), and form pills the size of mung beans. Take seventy to eighty pills per dose. Swallow with saliva after meals, or ginger decoction is also acceptable.
Yueju Wan (See Section 41)
Erchen Tang (See Section 16)
Danxi Daoyin Wan (Danxi's Guiding-Fluids Pill) treats Zaos caused by Water-Fluid retention.
Wuzhuyu (Evodiae Fructus, three qian) Baifuling (Poria, one liang) Huanglian (Coptidis Rhizoma, five qian) Cangzhu (Atractylodis Rhizoma, stir-fried, one liang) Duhuo (Angelicae Pubescentis Radix, seven qian)
Grind the above into fine powder, bind with paste made from Shenqu, and take as pills.
Wumei Wan (See Section 63)
Jiuzhu Huanglian Wan (See Section 55)
Swallowing Acid and Vomiting Acid are largely similar with minor differences. In Swallowing Acid, the acid sensation is in the chest and stomach, arising and ceasing suddenly, stinging the Stomach and piercing the Heart. In Vomiting Acid, acidic water or substances are vomited out, tasting like strong vinegar, irritating the throat and softening the teeth. Both result from external cold affecting the body and cold in the Stomach, food stagnation, fluid retention, failure of Grain Qi to differentiate properly, and stagnation in the Middle Jiao. It is just like brewing wine that fails to ferment; when time passes, it turns sour. The difference between swallowing and vomiting lies in the amount of fluids in the Stomach: in swallowing, there is little fluid; in vomiting, there is much fluid. Occasionally, it belongs to Fire, where Heat cannot dissipate; or to Wood (Liver), where Qi cannot extend. For undissipated Heat, disperse it; for unextended Qi, unblock it. Therefore, generally, warming the Middle and dispersing Cold is appropriate, allowing stagnation to open and the disease to heal itself. (Suitable formulas include Faxiang Huoxiang Anwei San [Huo Xiang An Wei Powder], Jiajian Erchen Tang [Modified Two Aged Decoction], Sanyin Quzhu Wan [Sanyin Qu Zhu Pill], Erchen Tang added with Wuzhuyu, Huanglian, Shenqu, and Cangzhu, and Jiuzhu Huanglian Wan.)